VP of Finance

Tiny Health is advancing lifelong health, from the first 1,000 days to the last, and addressing chronic disease through precision microbiome science. Founded in 2020 and built by microbiome scientists and physicians, our testing platform reveals whether your microbiome is trending toward resilience or imbalances using shotgun metagenomics, proprietary AI, and one of the world's largest longitudinal datasets. Trusted by families and health practitioners alike, our research-backed gut and vaginal tests are redefining the microbiome as a cornerstone of personalized health through every life stage. Learn more at tinyhealth.com and poweredbytiny.com.

As our VP of Finance, you will own and bring discipline to Tiny Health's finance function at a pivotal moment in our growth. You will build the operating rhythm that keeps the business steered month to month, from a reliable forecast that reconciles against actuals to a monthly business review where every meaningful variance gets a real decision. You will also supply the financial rigor behind how we allocate capital and raise it as we scale through our Series B and beyond.

This is a builder's role. You will start hands-on across the full scope of finance and, over your first year, hire and ramp the team beneath you so you can move from day-to-day execution into true financial partnership with the leadership team. This position reports to our Chief Growth Officer.

• Own a monthly forecast-to-actuals reconciliation and a driver-based rolling forecast, and tighten the close over the year so re-forecasting is fast

• Run a monthly business review where every meaningful variance gets a documented call to hold, reallocate, or cut

• Evaluate, select, and implement the financial systems stack, then run the next annual planning cycle on it

• Inform business decision making to executive leadership through provision of timely, accurate and succinct financial health information

• Regularly collaborate in async and live discussions with Leadership, informing strategic growth of the company

• Hire and ramp a controller and an FP&A analyst, and move from execution into financial partnership

• 10+ years in finance, including a senior FP&A or finance-leadership role

• Have personally owned a monthly close end-to-end and know where closes break

• Can build a driver-based forecast where a change in a current-month actual flows through to full-year guidance and operational inputs like inventory

• Have evaluated and implemented a financial systems stack, including the judgment to call whether new systems were warranted at all

• Comfortable owning a broad, under-resourced scope solo, triaging deliberately, before the team is built beneath you

• Experience operating in a venture-backed, high-growth environment

• Strong written communication: can explain a complex financial decision so someone outside finance can act without a follow-up call

• Have hired and built a small finance team (controller, FP&A)

• Comfortable with revenue-timing and cash-flow nuances like deferred revenue, or quick to get up to speed on them

• DTC / consumer or healthcare / diagnostics domain experience

• Can move a skeptical decision-maker on the strength of the argument, not the title

• CPA or equivalent

• Have been through a priced equity round (Series A/B) on the company side

• A mission that actually pulls people in
  Most people here could be doing something easier. They’re not, because this work makes the microbiome measurable and actionable at every life stage — and the results land on real people who write in to tell us that we are life-changing to them. That feedback loop is the perk. It’s not just a job.

• Remote-first, real overlap
  We’re a very diverse, international team, although we only hire FTEs in North America. Core hours are 9am–6pm CST, shiftable by up to two hours either way — start at 7am or 11am, wrap at 4pm or 8pm. Pick your window; just be findable in it.

• Written first, huddle second, meet last
  Default to a clear Slack post: say whether you need a decision, an approval, or nothing at all. When a thread starts ping-ponging, jump into a huddle — ten minutes of voice beats forty of paragraphs. Meetings are the expensive option, so each one needs a decision to make, a preread or strawman sent ahead, and only the people who can actually make that call.

• Fast, but never sloppy
  We ask “how do we do the two-month thing in two weeks?” — and then we check the work. We’re a health company: results, science, and anything a customer or practitioner touches get a second set of eyes, always. Moving fast and being careful aren’t in tension here; shipping errors isn’t speed, it’s rework.

• Shape what we build, not just how we build it
  There’s no playbook waiting for you — you’ll write it, and that’s most true the more senior you are. Ideas get judged on whether they’re executed right, not on who raised them, and the person closest to the problem is usually the one who should be proposing the fix. Bring the alternative, not just the objection.

• Day One mentality
  Fewer titles, fewer layers, fewer moving parts. Real process exists where it counts — data, lab, science, compliance, money — and we follow it, but process is a guardrail, not a destination. Process bloat is never the reason something didn’t ship.

• No hidden agendas
  Transparency mean you’ll always understand how decisions are being made, especially at the top. We spend less time on politics and more on impact. Numbers, misses, and hard calls get shared openly. Feedback works the same way: in real time, not stockpiled for a review cycle. It’s a no-surprises culture: you should always know where you stand, and if you don’t, ask.

• High standards, genuinely fun people
  Our CEO has been described as goofy but serious, direct but likable — and that sets the temperature. We take the work seriously and ourselves much less so. High-performing and fun to be around isn’t a contradiction; it’s the hiring bar.

• Is this pace for you?
  We’re a venture-scaled company on a steep trajectory, and the pace is part of the job. There’s no deep bench to absorb the overflow, which is exactly why the scope here is bigger than it would be anywhere else at your level. We protect flexibility fiercely — more than half of us have kids — and ask for intensity in spikes, not as a constant grind. There’s no defined ladder. Perform, and you’ll move faster here than anywhere else.

1. Learn Fast, Get Better - Find the root cause, not just the fix, and get better every time

2. Be Relentlessly Resourceful - Dig for the answer, move fast, and know when to ask for help

3. Think Like an Owner, Act with Urgency - Act like it’s your company, and do whatever it takes to win

4. Act with Honesty and Empathy - Say what’s true, and say it with care

5. Delight People by Anticipating Their Needs - Solve the problem, then get two steps ahead of it